Metanephric adenoma diagnosed on biopsy in an infant: a case report.

Background: Metanephric adenoma is a rare benign renal tumor of the kidney, uncommonly observed in children. It is often misdiagnosed preoperatively as a malignant neoplasm, leading to an unnecessary nephrectomy. The challenge is to make the right diagnosis preoperatively and therefore manage it with conservative surgery.

Elective surgery cancellations in pediatric surgery: rate and reasons.

Introduction: Canceling pediatric elective surgery leads to multiple disturbances regarding the inefficient operating room (OR) management, the financial repercussions, and the psychological impact on the patient and his family. This study aims to identify the reasons for cancellations among the pediatric population in our setting and suggest some convenient solutions.

Methods: We carried out a prospective and descriptive study over 12 months in the pediatric surgery department of Fattouma Bourguiba University Hospital.

The relationships between renewable energy, net energy imports, arms exports, military expenditures, and CO emissions in the USA.

We evaluate the relationships between renewable energy consumption, net energy imports, military expenditures, arms exports, gross domestic product, and carbon dioxide emissions by using annual data about the USA. The autoregressive distributed lag approach and the vector error correction model are used. There are both long-run and strong causalities running from all considered variables to renewable energy consumption.

Adapting waterpipe-specific pictorial health warning labels to the Tunisian context using a mixed method approach.

Background: Waterpipe (WP) use is rapidly increasing among young people worldwide due to the widespread misperception that it is safer than cigarette smoking. Health warning labels (HWLs) can effectively communicate tobacco-related health risks but have yet to be developed for WP. This study aimed to optimize and adapt a set of 16 pictorial WP-specific HWLs, developed by an international Delphi study, to the Tunisian context.

Design and Rationale of the National Observational Multicentric Tunisian Registry of Hypertension: Protocol for Evaluating Hypertensive Patient Care in Clinical Practice.

Background: This study was designed to evaluate the care of hypertensive patients in daily clinical practice in public and private centers in all Tunisian regions.

Objective: This study will provide us an overview of hypertension (HTN) management in Tunisia and the degree of adherence of practitioners to international recommendations.

Methods: This is a national observational cross-sectional multicenter study that will include patients older than 18 years with HTN for a duration of 4 weeks, managed in the public sector from primary and secondary care centers as well as patients managed in the private sector.

Inspecting the influence of renewable energy and R&D in defending environmental quality: evidence for California.

The United Nations's Sustainable Development Goals (SDGs) is international cooperation that aims to climate change mitigation, and encourage the use of clean energy. Investing in green technology to reduce carbon dioxide (CO) emissions is among the most important objective of the SDGs. As the USA is part of this collaboration, the present study tries to examine the progress of one State to meet the Global Goals.

Analysis of Fluoride Contamination in Sheep Serum and in Water in the North East of Tunisia Ore Deposits.

The north east of Tunisia ore deposits (Hammam Zriba) contain a large amount of fluorides constituting a risk of environmental pollution as well as risks to human and animal health. The aim of our work was to assess the levels of fluorides in the water and blood of sheep in the east of Tunisia region. This analysis study included 78 water samples and 60 blood samples taken during 3 days in the year 2019, from a sheep herd at Hammam Zriba delegation.

Novel biomarkers for the early prediction of pediatric cystic echinococcosis post-surgical outcomes.

Objective: This study aims to search for reliable serological biomarkers allowing the early prediction of cystic echinococcosis (CE) post-operative outcomes.

Methods: We applied immunoprecipitation (IP) of Echinococcus granulosus protoscolex antigens with pediatric CE patients' plasma collected at 1-month and 1-year post-surgery, followed by Liquid Chromatography with tandem mass spectrometry (LC-MS/MS). We compared IP proteomic content from relapsed patients within the first-year post-surgery (RCE) to cases with no relapses until 3 post-operative years (NRCE).

Exploring the role of renewable energy and foreign and non-foreign patents on mitigating emissions: evidence for Tunisian economy.

This study investigates the relationships among renewable energies (RE), carbon dioxide (CO) emissions, foreign direct investment (FDI), foreign and non-foreign patents (FP, NFP), and trade (TR) for the case of Tunisia using time series data spanning the period 1980-2017. The autoregressive distributed lags (ARDL) model approach of Pesaran et al. (J Appl Econ 16:289-326, 2001) and the causality of Granger are employed to explore the dynamic association between the underlined variables.

Non-resident and resident patents, renewable and fossil energy, pollution, and economic growth in the USA.

The main objective of this paper is to estimate the impact of foreign research and development (R&D) spillovers on pollution and renewable energy consumption (RE). We choose as proxies for R&D and for foreign R&D spillovers, resident patents (RP) and non-resident patents (NRP), respectively. We use annual data for the USA spanning the period 1980-2016.

Assessment of atrial conduction time by Doppler tissue imaging in hypertensive patients.

Background: Hypertension is the first cause of atrial fibrillation. Its onset is explained by intricate mechanisms such as atrial conduction impairment.

Aim: To evaluate atrial conduction by tissue Doppler imaging in hypertensive patients compared to a control group.

Cardiometabolic comorbidities in obstructive sleep apnea patients are related to disease severity, nocturnal hypoxemia, and decreased sleep quality.

Background: Obstructive sleep apnea syndrome (OSA) is currently recognized as an independent risk factor for hypertension, arrhythmia, coronary heart disease, stroke, and metabolic disorders (e.g. diabetes, dyslipidemia).

Diagnostic characteristics of acute myocarditis.

Background: Acute myocarditis is an inflammation of the heart muscle. Its unpredictable evolution justifies the importance of its early recognition. The clinical polymorphism associated with the lack of sensitivity of conventional diagnostic means make diagnosis a challenge for the clinician.

Assessment of left atrial mechanical function by two-dimensional echocardiography in hypertensive patients.

Introduction: The left atrium (LA) have an important role in the normal functioning of the heart thanks to its three functions: reservoir, conduct and pump. Several pathologies lead directly or indirectly to morphological and functional modifications of the LA.

Aim:   Investigate the effect of arterial hypertension on LA size and function.

Animal Pesticide Poisoning in Tunisia.

During the period from 2014 to 2017, a retrospective study on pesticide poisoning in domestic animals and livestock was compiled and then analyzed. A total of 71 pesticide analyses have been submitted to the Pharmacy and Toxicology Laboratory of the School of Veterinary Medicine of Sidi Thabet in Tunisia. All the cases were first referred either through the clinical and/or pathological departments of the Veterinary School, the private and/or governmental veterinarians or directly by the pet owners.

African ethnicity is associated with a higher prevalence of diabetes in obstructive sleep apnea patients: results of a retrospective analysis.

Purpose: Obstructive sleep apnea (OSA) syndrome is a well-recognized independent risk factor for cardiovascular disease and its prevalence is increasing. OSA symptomology, polysomnographic features, and comorbidities are heterogeneous among patients. Ethnicity is thought to influence OSA phenotypes, but extensive knowledge of OSA ethnic patterns is lacking.

Capitonnage seems better in childhood pulmonary hydatid cyst surgery.

Background: Pulmonary hydatid disease remains an important healthcare problem. Conservative operative interventions including cystotomy or cystotomy with capitonnage are the two commonly used techniques. However, there is no scientific consensus over selection of these operative interventions.

Neuroprotective benefits of grape seed and skin extract in a mouse model of Parkinson's disease.

Parkinson's disease is a neurodegenerative disorder characterized by the progressive loss of midbrain dopaminergic (mDA) neurons in the substantia nigra pars compacta, and it involves oxidative stress. Our goal was to evaluate the neuroprotective effect of red grape seed and skin extract (GSSE) in a model of Parkinson's disease. GSSE is very rich in phenolic compounds, such as flavonoids, anthocyanins, catechins and stilbenes, which are present in the pulp, seeds, and leaves of the fruit.